BSC Service Survey Form
30303 Aurora Road, Solon, Ohio 44139
Phone: (440) 519-2298   Fax: (440) 519-2326
E-mail: bsc@bird-technologies.com
Contact Information

Please provide the following information - * Required fields

* First Name:
* Last Name:
Title:
Company:
* Address:
* City:
* State/Province:
* Zip/Postal Code:
Country:
* Phone Number:
Fax Number:
 * E-mail:
Products Serviced
* Service Order #::
Product 1: Serial No:
Product 2: Serial No:
Product 3: Serial No:
Product 4: Serial No:
Product 5: Serial No:
Customer Survey   Please comment below
 
1. Did Bird Service your product to your satisfaction?
Excellent    Average   Below Average   Poor
 
2. Was your product serviced in a timely manner?
Excellent     Average    Below Average    Poor
 
3. Cost of Service
Excellent     Average    Below Average    Poor
 
4. How would you rate the overall service from Bird?
Excellent     Average    Below Average    Poor
 
5. Would you be interested in a yearly Service Contract?
Yes     No
 
6. May we contact you with more information about our services?
Yes     No
 
Customer Comments